· web view2020/11/05 · the project proposal involves a maximum of 5 eligible research partners...

EuroNanoMed II - Proposal form (2013)

EuroNanoMed JTC2021 Pre-proposal form

EuroNanoMed

Joint Transnational Call for Proposals (JTC2021) for

“European Innovative Research & Technological Development Projects in Nanomedicine”

Pre-proposal application form

Please note:

· Proposals that do not meet the national eligibility criteria and requirements will be declined without further review.

· All fields must be completed using "Calibri font, size 11" characters.

· Incomplete proposals (proposal missing any sections), proposals using a different format or exceeding length limitations of any sections will be rejected without further review.

· In case of inconsistency between the information registered in the submission tool and the information included in the PDF of this application form, the information registered in the submission tool shall prevail.

· Refer to the “GUIDELINES FOR APPLICANTS” for information about the proposal structure.

· Refer to the “Guidelines for Responsible Research and Innovation (RRI) in proposals to EuroNanoMed III” for information about RRI.

· Once completed the pre-proposal must be converted in a single PDF document before being uploaded to the submission website.

Checklist for the Coordinator:

In order to make sure that your proposal will be eligible to this call, please collect the information required (on the “Call Text”, “Guidelines for applicants” and through your contact point) to tick all the sections below before starting to complete this application form.

· General conditions:

|_| The project proposal addresses the AIM/s of the call

|_| The project proposal meets the TOPIC/S of the call

· The composition of the consortium:

|_| The consortium includes research group(s) from at least two out of the following three categories:

· A- academia;

· B- clinical/public health research sector;

· C- enterprise (all sizes of private companies)

|_| The project proposal involves at least 3 eligible research groups from at least 3 different countries participating in the EuroNanoMed 12th joint transnational call.

|_| The coordinator’s institution and the majority of the partners in the consortium are from countries/regions participating in the 12th joint transnational call.

|_| The project proposal is not involving more than two eligible research groups from the same country participating in the call.

|_| The project proposal involves a maximum of 5 eligible research partners asking for funding. In case of inclusion of partners from underrepresented countries (Bulgaria, Czech Republic, Egypt, Estonia, Latvia, Lithuania, Romania, Slovakia and Taiwan) the project involves a maximum of 7 eligible partners.

|_| The project proposal involves a maximum of 7 partners.

· Eligibility of consortium partners:

|_| I am not a member of EuroNanoMed III Network Steering Committee (NSC) / Call Steering Committee (CSC) or evaluation panel / External Advisory Board

|_| I have checked that each partner involved in the project proposal is eligible to receive funding by its funding organisation.

|_| I have verified with each partner involved in the project proposal that they are not involved in more than two proposals submitted to this call.

|_| I have only submitted one project proposal as coordinator and none as partner.

|_| For the non-eligible for funding partner I have enclosed in the proposal a signed statement declaring that they will run the project with their own resources.

|_| Spanish partners asking for funds to CDTI are aware that they have to submit a national application in parallel (https://sede.cdti.gob.es)

|_| Italian partners asking funds to the Italian Ministry of Health (IMH) have submitted the requested national additional documents in parallel (pre-submission eligibility check)

1. General information

Project title


Page 1

Page 29

Acronym (max. 15 characters)

Project duration (months)

Total project costs (€)*

Total requested budget (€)*

*Please make sure that the same figures are entered in the sections that need to be completed online (pt-outline submission tool). Thousand separators and whole numbers should be used only (e.g. 200.000).

Proposal classification

Please tick the appropriate boxes to specify the category of your application.

REGULAR COLLABORATIVE PROJECT

A) Innovation applied research projects|_| Yes|_| No

B) Project with high potential of applicability at short/medium term|_| Yes|_| No

SHORT COLLABORATIVE PROJECT |_| Yes |_| No

Scientific / Technical area(s)

Please tick the appropriate boxes to specify what is (are) the scientific/technical area(s) addressed by your proposal.

Diagnostics|_| Yes|_| No

Targeted delivery systems|_| Yes|_| No

Regenerative medicine|_| Yes|_| No

Keywords (from 5 up to 7)

Please list 5 to 7 keywords describing your proposal.

Scientific abstract (max. 2,000 characters, with spaces)

Please give a comprehensive and readable summary of the most important aims and methods of the project. Please note that if the project is selected for funding this abstract is to be published in the newsletter and on the funding organisations’ websites.

2. Project consortium

For each of the partners participating in the project, please fill in the following table.

2.1 Project coordinator

Last Name

First Name

Gender

Title

Institution

Type of entity

|_| Academia (research teams working in universities, other higher education institutions or research institutes)

|_| Clinical/public health research sector (research teams working in hospitals/public health and/or other health care settings and health organisations)

|_| Large enterprise

|_| Small and medium enterprise (SME)

Department

Position

Address

Postal Code

City

Country/Region

Relevant funding organisation

Phone

Fax

E-mail

Other information[footnoteRef:2] [2: Industry: Additional information (such as VAT number, turnover, balance sheet) might be requested by your national / regional agency. Please check in the “Guidelines for applicants”. If no additional information is requested by your national / regional funding organisation, please write «none».]

Other personnel participating in the project

(please provide last and first names

and positions, 1

line per person)

2.2 Project partner 2

Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region

Relevant funding organisation (if no funding is requested, please write “none”) [footnoteRef:3] [3: If no funding is requested, a signed statement has to be enclosed declaring in advance that this partner will run the project with its own resources.]

Phone

Fax

E-mail




and positions, 1

line per person)


Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region


Phone

Fax

E-mail




and positions, 1

line per person)

2.4 Project Partner 4

Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region


Phone

Fax

E-mail




and positions, 1

line per person)


Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region


Phone

Fax

E-mail




and positions, 1

line per person)


Only in case of inclusion of partners from underrepresented countries (Bulgaria, Czech Republic, Egypt, Estonia, Latvia, Lithuania, Romania, Slovakia and Taiwan)

Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region


Phone

Fax

E-mail




and positions, 1

line per person)



Last Name

First Name

Gender

Title

Institution

Type of entity





Department

Position

Address

Postal Code

City

Country/Region


Phone

Fax

E-mail




and positions, 1

line per person)

3. Project Description (max. 5 pages)

The following six subsections MUST be completed in these five pages:

1. Background, present state of the art and preliminary results obtained by the consortium members

2. Objectives, the rationale, the methodology highlighting the novelty, originality and feasibility

3. Justify how the proposal fits in the scope of the call and explain the nanotechnology dimension of the proposed work and its added value to the scientific question addressed in the proposal [please state the Technology Readiness Levels (TRL) window where your project starts and finishes (See “Guidelines for Applicants, Annex 3”)]

4. Describe the unmet medical and patient need that is addressed by the proposed work and the potential health impact that the results of your proposed work will have

5. Added value of the transnational collaboration

6. Presents your initial reflections around Responsible Research and Innovation (RRI) and how relevant RRI measures (if any) are implemented in this project proposal in nanomedicine[footnoteRef:15] [15: EuroNanoMed RRI guidelines: http://euronanomed.net/joint-calls/enmiii-rri-guidelines/]

If the application concerns a request for extension of a project funded in previous EuroNanoMed calls, please add 1 additional page describing the scientific results achieved in that project so far.

3.1. Diagram which compiles the work plan, timeline, sequencing of work packages, the contribution of the partners to each work package and their interactions (Timeplan, Gantt and/or PERT, max. 1 page)

3.2. In addition, FOUR more pages can be added to the pre-proposal (optional):

· List of references (max. 1 page)

· Page with diagrams, figures, etc. to support the work plan description (max. 1 page)

· List of abbreviations (max. 1 page)

· Self-funded partner’s letter of commitment

4. Financial plan of Project Budget (in €): Please make sure that the same figures are entered in the sections that need to be completed online (pt-outline submission tool)

Please note that not all types of expenditure are fundable by all funding organisations (see the ‘Guidelines for applicants’ for details on the eligibility criteria and/or contact the relevant EuroNanoMed national/regional funding organisation). Thousand separators and whole numbers should be used only (e.g. 200.000).

Partners

Partner 1

Partner 2

Partner 3

Partner 4

Partner 5

Partner 6

Partner 7

Name (group leader)

Institution

Country

Funding organisation

PROJECT COSTS (€)

Total

cost

Total Requested

Total cost

Total Requested

Total cost

Requested

Total cost

Total Requested

Total cost

Total Requested

Total cost

Total Requested

Total cost

Total Requested

Total

Total Requested

Personnel €

Consumables €

Equipment €

Travel €1

Other direct costs €2

Overheads €3

Total

1 please take into account that coordinators and partners shall present the projects at a midterm or final EuroNanoMed symposium

2 e.g. subcontracting, provisions, licensing fees; may not be eligible costs in all countries (will be handled according national regulations)

3 Overhead costs: funding according to national regulations

4 Those countries whose currency is different than € shall include their national currency in brackets

4.1. Financial plan of Project Partner 1 (in €): Please make sure that the same figures are entered in the sections that need to be completed online (pt-outline submission tool)

Type

Item Description

Total

Total costs

Total Requested

Personnel

Please specify (e.g. PhD students, Post Doc researchers, technicians and the number of Person-Months)

Consumables

Please specify (e.g. reagents, kits, antibodies, cell culture material, animals etc.)

Equipment

Please specify equipment

Travel

Please specify (e.g. allowances, meeting fees etc.)

Other

Please specify (e.g. animal costs, subcontracting, provisions, licensing fees, patents, publications, etc)

Overhead*

Total

* Please note that there is not a common flat rate for the overhead category given by the EuroNanoMed call. It may vary according to each funding agency’s regulations; please check the “Guidelines for applicants” or contact your relevant funding agency for further information.


Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total

* Please note that there is not a common flat rate for the overhead category, given by the EuroNanoMed call. It may vary according to each funding agency’s regulations; please check the “Guidelines for applicants” or contact your relevant funding agency for further information.


Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total



Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total



Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total




Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total




Type

Item Description

Total

Total costs

Total Requested

Personnel


Consumables


Equipment


Travel


Other


Overhead*

Total



5. Brief CVs of consortium partners

For each of the consortium partners, please provide a brief CV for the Project Consortium Coordinator and each Project Partner Principal Investigator with a list of up to five relevant publications within the last five years demonstrating the competence to carry out the project (max 1 page each, complete form below).

5.1. Project Coordinator

Last Name

First Name

Institution

Short CV

List of

five relevant publications within the last five years

5.2. Project Partner 2

Last Name

First Name

Institution

Short CV

List of



Last Name

First Name

Institution

Short CV

List of



Last Name

First Name

Institution

Short CV

List of



Last Name

First Name

Institution

Short CV

List of


5.6. Project Partner 6 (only if you count with partners from Bulgaria, Czech Republic, Egypt, Estonia, Latvia, Lithuania, Romania, Slovakia and Taiwan)

Last Name

First Name

Institution

Short CV

List of


5.7. Project Partner 7 (only if you count with partners from Bulgaria, Czech Republic, Egypt, Estonia, Latvia, Lithuania, Romania, Slovakia and Taiwan)

Last Name

First Name

Institution

Short CV

List of


Signature

Project Consortium Coordinator

Family Name:

First Name:

Institution:

Stamp and Signature

Date:

· web view2020/11/05 · the project proposal involves a maximum of 5 eligible research partners...

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